Healthcare Provider Details
I. General information
NPI: 1174040729
Provider Name (Legal Business Name): ASHLEY SEARIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/24/2017
Last Update Date: 07/21/2022
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4761 STATE ROUTE 29
CELINA OH
45822-8216
US
IV. Provider business mailing address
4761 STATE ROUTE 29
CELINA OH
45822-8216
US
V. Phone/Fax
- Phone: 419-584-1000
- Fax:
- Phone: 419-584-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | S.2005292 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: